1 | P a g e WEEKLY OUTBREAK REPORT Disease Alerts/Outbreaks reported and responded to by States/UTs through Integrated Disease Surveillance Program (IDSP)

(17th February 2020 to 23rd February 2020) th th 8 Week District wise disease alerts/outbreaks reported in the 8 week 2020 8th Week Map

Reporting Status of States/UT’s

No. of States/UT’s Submitted outbreak report ( including NIL report) 32

No. of States/UT’s Submitted ‘NIL’ outbreak report 14

INTEGRATED DISEASE SURVEILLANCE PROGRAMME NATIONAL CENTRE FOR DISEASE CONTROL 22 Sham Nath Marg, Civil Lines, Delhi-110054 Tel No. 23913148, Fax No. 23922677; www.idsp.nic.in

2 | P a g e

238 th Week District wise disease alerts/outbreaks reported in the 8th week 2020 8th Week Map

Disease alerts/outbreaks reported during this week (N=26)

10 8 8 7

6 4 4 3

2 1 1 1 1 No. of alerts/outbreaks ofNo.

0

Mumps

Hepatitis E Hepatitis

Hepatitis A Hepatitis

Chickenpox

Disease

Infection

Food Poisoning Food

Acute Diarrheal Acute Acute Respiratory Acute

Disease/alerts Measles Suspected

Disease wise no of outbreaks reported under IDSP during

Crimean-Congo… 2015-2020 till 8th wk of Every Year Cholera Enteric Fever Rubella 2015 2016 Malaria Viral Fever 2017 2018 Chikungunya Fever with Rash 2019 2020

Disease Dengue Mumps Viral Hepatitis Acute Diarrheal… Food Poisoning Measles

Chickenpox

0

50

250 100 150 200 300 350 400

3 | P a g e

Date of Name of Disease/ No. of No. of Date of Current Unique ID. Name of District Start of Comments/ Action Taken State/UT Illness Cases Deaths Reporting Status Outbreak Cases reported from Village Chandmari TE, BPHC Hapjan, SC Bordoloi Nagar. District RRT investigated the outbreak. Active case search Under done. All cases were reported from the workers in AS/TIN/2020/08/0152 Assam Tinsukia Chickenpox 16 00 15-02-20 21-02-20 Surveillance a tea estate. Cases presented with fever, headache and vesicular eruption. The affected households have poor sanitation. All cases treated. Health education given. Cases reported from Balasinor Urban. District RRT investigated the outbreak. Active case search done. Cases presented with vomiting, Food Under diarrhea and pain abdomen after consuming food GJ/MIS/2020/08/0153 Gujarat Mahisagar 48 00 23-02-20 23-02-20 in a social gathering. A total of 03 stool samples Poisoning Surveillance were collected and tested at DPHL, Godhra and were found to be negative for any pathogens. All cases treated symptomatically. Health education given. Cases reported from Sidhpur, UPHC Sidhpur, City area Taherpura. District RRT investigated the outbreak. House to house surveillance conducted. Cases were probably due to contamination of drinking water sources and irregular chlorination. A total of 03 serum Under samples collected and sent to Micro Department GJ/PAT/2020/08/0154 Gujarat Patan Hepatitis E 12 00 21-02-20 21-02-20 Surveillance PHL IDSP Lab Civil Hospital Mehasana, result awaited. All cases treated. Chlorine tablets and ORS packets were distributed in the affected area. Instructions given for regular water chlorination and repair of leakages. Health education given on personal hygiene, sanitation and consumption of boiled water. Cases reported from Poreyahat, Barmasia. Akashi. District RRT investigated the outbreak. Suspected Under Cases presented with fever, cough and JH/GDA/2020/08/0155 Jharkhand Godda 09 00 17-02-20 20-02-20 maculopapular rash. A total of 05 blood samples Measles Surveillance collected and sent to RIMS, Ranchi, result awaited. All cases treated. Health education given.

4 | P a g e

Cases reported from Village Shantinagar, UPHC Adityapur, CHC Gamhariya. District RRT Under investigated the outbreak. A total of 06 blood JH/SAK/2020/08/0156 Jharkhand Saraikela Chickenpox 11 00 20-02-20 22-02-20 Kharsawan Surveillance samples collected and sent to MGM College & Hospital Jamshedpur, result awaited. All cases treated. Health education given. Cases reported from Darul Aloom Simmaniya Acute Jammu and Under Kulgam, Block Kulgam. District RRT JK/KLM/2020/08/0157 Kulgam Respiratory 17 00 16-02-20 18-02-20 investigated the outbreak. Cases presented with Kashmir Surveillance Infection fever, cough, headache, rhinitis and body ache. All cases treated. Health education given. Cases reported from Gasoo Burzahama, Zadibal. District RRT investigated the outbreak. Door to Jammu and Under door survey conducted. A total of 06 blood JK/SNR/2020/08/0158 Srinagar Hepatitis A 20 00 16-02-20 22-02-20 Kashmir Surveillance samples collected and 02 were found positive for Hepatitis A by IgM ELISA. All cases treated. Health education given. Cases reported from Village Allur B, PHC/CHC Allur K, Taluk Chittapur. District RRT investigated the outbreak. House to house survey conducted. Leakage in the water pipeline may Acute Under have led to the outbreak. A total of 06 stool KN/GUL/2020/08/0159 Karnataka Kalaburagi Diarrhoeal 35 00 18-02-20 19-02-20 samples collected and showed no growth of V Surveillance Disease cholera. A total of 15 water samples were collected result awaited. All cases treated. Alternate arrangement for drinking water made. Super chlorination of drinking water sources done. Health education given. Cases reported from Village Gaundalli, Khanapur, PHC/CHC Chatnalli, Taluk Shadapur. District RRT investigated the outbreak. Active Acute case search done in the affected area. A total of Under 04 water samples collected and sent to Chatnalli KN/YDI/2020/08/0160 Karnataka Yadgiri Diarrhoeal 13 00 18-02-20 18-02-20 Surveillance PHC, and 01 was found unfit. All cases treated. Disease Regular water chlorination done. Alternate source of drinking water arranged. Halogen tablets distributed in the affected area. Health education given on consumption of boiled water.

5 | P a g e

Cases reported from Village Vadave, SC , PHC Ruikheda, Block . District RRT investigated the outbreak. House to house survey Acute Under conducted. A leakage in valve near water storage MH/JGA/2020/08/0161 Diarrheal 20 00 19-02-20 21-02-20 tank identified. A total of 02 water, 01 TCL and Control Disease 04 stool samples collected and sent to GMC Aurangabad. Result awaited. All cases treated. Health camp was organized in the affected village. Health education given. Cases reported from Champatimunda, SC Tumuni School Jawahar Nabodaya Vidyalaya. District RRT investigated the outbreak. The source of Food Under infection was identified as contaminated OR/AGL/2020/08/0162 Odisha Angul 15 00 24-02-20 25-02-20 food(chicken curry). A total of 04 water, 03 stool Poisoning Control samples and 01 vomitus sample was collected and result awaited. All cases treated. Water chlorination done. Health education given on safe drinking water, food hygiene and hand washing. Cases reported from Shahid Bhagat Singh Nagar, St No 4, Barnala. District RRT investigated the outbreak. House to house survey conducted. Sewage water mixing with potable water may have been the source of infection. A total of 03 Under water samples collected and sent to SPHL CHD, PB/BRN/2020/08/0163 Punjab Barnala Hepatitis E 45 00 22-02-20 22-02-20 Surveillance result awaited. A total of 08 blood samples collected and result awaited. All cases treated. Chlorine tablets distributed in the affected area. Instruction given for repair of leakage in water supply pipes. Health education given on hand washing and consumption of boiled water. Cases reported from Village Kotla Dadheri, SC Ambemajra, PHC Chanarthal Kala. District RRT investigated the outbreak. House to house survey Under conducted. A total of 07 blood samples and 05 PB/FTH/2020/08/0164 Punjab Fatehgarh Sahib Hepatitis E 10 00 19-02-20 19-02-20 water samples were collected and result awaited. Surveillance All cases treated. Medical camp organized in the affected village. Health education given on personal hygiene and consumption of boiled water.

6 | P a g e

Cases reported from Village Arjunpura Khalsa, SC Arjunpura, PHC Brikchiawas, Block Pisangan. District RRT investigated the outbreak. Active case search done. Cases presented with pain abdomen and vomiting after consuming food Food Under in mid day meal. Food samples(03 Masala, 01 RJ/AJM/2020/08/0165 Rajasthan Ajmer 32 00 22-02-20 23-02-20 Poisoning Control Oil, 02 Milk, 01 Roti, 01 sabji) collected by District FSO team and sent for testing, result awaited. A single water sample collected and sent to DPHL Lab Satellite Hospital Ajmer, result awaited. All cases treated. Health education given. Cases reported from Village Vettivayal, HSC Muppaiyur, PHC Monni Kar Mangudi, Block Devakottai. District RRT investigated the outbreak. House to house survey conducted. A Acute Under total of 02 stool and 02 water samples collected. TN/SIV/2020/08/0166 Tamil Nadu Sivaganga Diarrheal 13 00 17-02-20 17-02-20 Stool samples reported as, no enteric pathogen Surveillance Disease belonging to Salmonella, Shigella and Vibrio species isolated. Water samples were found to be non potable. All cases treated. Health education given on personal hygiene, environmental sanitation and food safety measures. Cases reported from a school in Village Thakkandarayapuram, HSC Melpathi, PHC Mazhaiyur. District RRT investigated the Food Under outbreak. Active case search conducted. Cases TN/TVM/2020/08/0167 Tamil Nadu Tiruvannamalai 09 00 20-02-20 24-02-20 presented with vomiting after consuming meals. Poisoning Surveillance A total 02 water, 02 stool samples and 01 food sample( uncooked eggs) collected and sent to DPHL Cheyyar, result awaited. All cases treated. Health education given on hand hygiene. Cases reported from Village Ward 44, 45, & Mpty, HSC EVR Maniammai, PHC/Block Acute Under Kumbakonam Mpty. District RRT investigated TN/TNJ/2020/08/0168 Tamil Nadu Thanjavur Diarrheal 61 00 17-02-20 20-02-20 the outbreak. House to house survey conducted. Surveillance Disease A total of 05 water samples collected and sent to DPHL, Thanjavur were found to be non-potable. All cases treated. Health education given.

7 | P a g e

Cases reported from Village Navamalmarudhur Colony, HSC Navamalmarudhur, PHC Kandamangalam, Block Kandamangalam. District RRT investigated the outbreak. House to house survey conducted. Water pipeline leakage Acute was observed. A total of 02 stool and 03 water Under samples collected and sent to DPHL Kallakurichi, TN/VIL/2020/08/0169 Tamil Nadu Villupuram Diarrheal 05 00 20-02-20 20-02-20 Surveillance no enteric pathogen isolated from stool samples Disease and water samples were found to be potable and 02 were non potable. Water supply was temporarily stopped in the affected area. ORS packets were distributed in the affected area. Pipeline leakage was rectified. All cases treated. Health education given. Cases reported from Kasturiba Gandi Balika Acute Vidyalaya, Mupparam (v), Dharmasagar(M). Under District RRT investigated the outbreak. Active TL/WRG/2020/08/0170 Telangana Warangal Urban Diarrheal 55 00 21-02-20 23-02-20 Control case search conducted. Water samples collected Disease and result awaited. All cases treated. Medical camp conducte Health education given. Cases reported from Khurbura, Block Raipur. District RRT investigated the outbreak. Active Under case search done. A total of 03 blood samples UK/DEH/2020/08/0171 Uttarakhand Dehradun Mumps 05 00 22-02-20 22-02-20 Surveillance collected and sent Govt Medical College Haldwani Nainital, result awaited. All cases treated. Health education given. Cases reported from Village Kundalpal, GP Sabang, PS Sabang Paschim Medinipur. District RRT investigated the outbreak. Active case Food Under search done. All cases gave history of WB/MDW/2020/08/0172 West Bengal Medinapur West 425 00 19-02-20 20-02-20 consumption of food in a social gathering. A total Poisoning Surveillance of 02 stool and sent to MMCH, result awaited. A total of 02 water samples collected and sent to PHE result awaited. All cases treated. Health education given.

8 | P a g e

Cases reported from Sripur Shinutola, Sripur colony & Etoaritola, SC Sripur Colony, GP Hamidpur, Block Kaliachak-II. District RRT Food Under investigated the outbreak. Active case search WB/MLD/2020/08/0173 West Bengal Malda 101 00 22-02-20 23-02-20 done. Cases gave history of consumption of food Poisoning Surveillance in a social gathering. A total of 02 stool and 05 water samples collected and sent to MMC&H, result awaited. All cases treated. Health education given.

DISEASE OUTBREAKS OF PREVIOUS WEEKS REPORTED LATE

Date of Name of No. of No. of Current Unique ID. Name of District Disease/ Illness Start Comments/ Action Taken State/UT Cases Deaths Status Outbreak Cases reported from Village Kharuna Yadav Tol, PHC Under Jhanjharpur, HSC Piprolia. District RRT investigated the BH/MBN/2020/08/0174 Bihar Madhubani Chickenpox 07 00 08-02-20 outbreak. Active case search done. Cases presented with fever Surveillance with vesicular rash. Cases were between in the age group 3-17 years. All cases treated. Health education given. Cases reported from Moti Mohalla, Hazratbal. District RRT Jammu and Under investigated the outbreak. House to house survey conducted. JK/SRN/2020/08/0175 Sriagar Chickenpox 40 00 04-11-19 Kashmir Control Cases were in the age group 3-35 years. All cases were treated. Health education given. Cases reported from SC Bandhar, Heela & Thakrakote, PHC Thakrakot, Block Pouni. District RRT investigated the Jammu And Food Under outbreak. Food samples collected and sent to Public Health JK/RAI/2020/08/0176 Reasi 171 00 13-02-20 Laboratory, Jammu result awaited And water samples Kashmir Poisoning Surveillance collected and sent to Department of Microbiology, GNC Jammu, result awaited. All cases treated. Health education given. Cases reported from School, Hostel in Venoor. District RRT investigated the outbreak. Active case search done. Cases presented with fever, fatigue pain abdomen, loose stools and headache. Of the 14 cases 13 were male and 1 was a female. Dakshin Food Under KN/DKK/2020/08/0177 Karnataka 14 00 03-01-20 Blood samples collected and no growth was seen after 7 days Kannada Poisoning Control of incubation, stool culture reported and no growth of enteropathogens seen, MP tested negative. . All cases treated. Health education given on hand hygiene, food hygiene and consumption of boiled water.

9 | P a g e

FOLLOW UP OF DISEASE OUTBREAKS OF PREVIOUS WEEKS

Date of Name of No. of No. of Current Unique ID. Name of District Disease/ Illness Start Comments/ Action Taken State/UT Cases Deaths Status Outbreak Case reported from Village Mathilakom, HSC Perijanam, Kerala PHC/Block Mathilakam. District RRT investigated the Under outbreak. Case gave history of travel from Wuhan, China. She Kerala Thrissur COVID-19 01 00 27-01-20 left from the affected country 23-1-20 and reached Cochin, (Follow up of 5th Week Surveillance Kerala 25-01-20. A total of 95 contacts were traced all are Outbreak ID. (0079) asymptomatic and negative for COVID 19. Case treated. Health education given. Case reported from Village Ajanur, HSC FWC Madiyan, PHC Ajanur, Block Periya. District RRT investigated the Kerala outbreak. Case was a 23 year old male who had travelled from Under Wuhan, China. A total of 162 contacts traced, all are negative Kerala Kasaragod COVID-19 01 00 03-02-20 (Follow up of 5th Week Surveillance for COVID-19. Health education given on personal hygiene. Outbreak ID. (0080) Awareness created using mass media and social media networks. Cases treated. Awareness sessions arranged in schools. Cases reported from Village Thamarakulam, HSC FWC Pachakkadu, PHC Thamarakulam, Block Chunakara. District Kerala RRT investigated the outbreak. Fever surveillance done. The Under case traveled along with a friend on 23-01-20 took a taxi from Kerala Alappuzha COVID-19 01 00 24-01-20 (Follow up of 5th Week Surveillance college to Wuhan Airport. A total of 67 contacts were traced. Outbreak ID. (0081) Primary contacts isolated and their samples sent to NIV, Pune were reported as negative for COVID-19. Cases treated. Health education given.